Active NPI
Melonie C Mitchell
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1023988367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 259577
- Practice address
- 1800 E Van Buren St
Phoenix, AZ 85006-3742 - Phone
- (480) 474-4122
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 259577 | AZ | Primary |
Addresses
Primary practice location
1800 E Van Buren St
Phoenix, AZ 85006-3742
Mailing address
1800 E Van Buren St
Phoenix, AZ 85006-3742
Phone (602) 251-8535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260409003670 | AZ | Practitioner - Nurse Practitioner | 6103391883 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19801 N 59TH Ave
Unit 11706
Glendale, AZ 85318-5070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259577 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Scottsdale, AZ
- NPI 1962848309
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1023988367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063742",
"telephone_number": "602-251-8535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063742",
"telephone_number": "480-474-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "MELONIE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "259577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.